L’efficienza dei sistemi sanitari regionali in Italia: pubblico o privato?

Titolo Rivista ECONOMIA E POLITICA INDUSTRIALE
Autori/Curatori Greta Falavigna, Roberto Ippoliti
Anno di pubblicazione 2013 Fascicolo 2013/2 Lingua Italiano
Numero pagine 21 P. 29-49 Dimensione file 208 KB
DOI 10.3280/POLI2013-002002
Il DOI è il codice a barre della proprietà intellettuale: per saperne di più clicca qui

Qui sotto puoi vedere in anteprima la prima pagina di questo articolo.

Se questo articolo ti interessa, lo puoi acquistare (e scaricare in formato pdf) seguendo le facili indicazioni per acquistare il download credit. Acquista Download Credits per scaricare questo Articolo in formato PDF

Anteprima articolo

FrancoAngeli è membro della Publishers International Linking Association, Inc (PILA)associazione indipendente e non profit per facilitare (attraverso i servizi tecnologici implementati da CrossRef.org) l’accesso degli studiosi ai contenuti digitali nelle pubblicazioni professionali e scientifiche

The paper sets out to analyze the efficiency of regional health care systems based on the patients’ perception of the quality of the services provided. For the purpose of this study, efficiency is measured as interregional mobility, i.e., the number of a region’s residents that use the services of the regional health care system (positive mobility) and the number of non-regional patients that travel specifically to the host region to benefit from its medical care (negative mobility). Given the widespread take-up of social networks, the study assumes that people are willing to travel to areas where the quality of medical care is perceived to be higher. The first step was to perform a data envelopment analysis to obtain the efficiency scores. The second step consisted of conducting a regression analysis to respond to the paper’s main research question: to what extent might the public sector play a role in the efficiency of regional health care systems? The empirical evidence suggests that the privatization process of regional health care systems has failed to raise the efficiency of these particular suppliers in terms of the patients’ perception of the quality of their medical treatments.;

Keywords:Analisi regionale, efficienza, DEA (data envelopment analysis), sistema sanitario

Jel codes:I11

  1. Anonimo. 2011. Sanità: giudici Milano, per pazienti Santa Rita spiccato danno morale. Liberoquotidiano.it, published online
  2. Banker R.D., Charnes A., Cooper W.W. 1984. Some models for estimating technical and scale inefficiencies in data envelopment analysis, Management Science, 30 (9): 1078-1092 DOI: 10.1287/mnsc.30.9.1078
  3. Barros C.P., Nektarios M., Assaf A. 2010. Efficiency in the Greek insurance industry. European Journal of Operational Research, 205 (2): 431-436 DOI: 10.1016/j.ejor.2010.01.011
  4. Chang H., Cheng M.A., Das S. 2004. Hospital ownership and operating efficiency: evidence from Taiwan. European Journal of Operational Research, 159 (2): 513- 527 DOI: 10.1016/S0377-2217(03)00412-0
  5. Charnes A., Cooper W.W., Rhodes E. 1978. Measuring the efficiency of decision making units. European Journal of Operational Research, 2 (4): 429-444 DOI: 10.1016/0377-2217(78)90138-8
  6. Chen A., Hwang Y., Shao B. 2005. Measurement and sources of overall and input inefficiencies: evidences and implications in hospital services. European Journal of Operational Research, 161 (2): 447-468 DOI: 10.1016/j.ejor.2003.09.017
  7. Coelli T., Rao Prasada D.S., Battese G.E. 1998. An Introduction to Efficiency and Productivity Analysis. Kluwer Academic Publishers: Noerwell
  8. Coleman J.S., Katz E., Menzel H. 1966. Medical Innovation. Bobbs-Merrill: Indianapolis
  9. Collicelli C. 2007. La valutazione in sanità. Economia dei servizi, 2 (3): 501-514 DOI: 10.2382/24834
  10. Daraio C., Simar L. 2007. Advanced Robust and Nonparametric Methods in Efficiency Analysis: Methodology and Application. Springer: Berlin
  11. Dlouhy M., Jablonsky J., Novosadova I. 2007. Use of data envelopment analysis for efficiency evaluation of Czech hospitals. Politicka Ekonomie, 1: 60-71
  12. Färe R., Grosskopf S. 1996. Intertemporal Production Frontiers: With Dynamic DEA. Kluwer Academic Publishers: Boston
  13. Farrell M.J. 1957. The Measurement of productive efficiency. Journal of the Royal Statistical Society, 120 (3): 253-290
  14. Fethi M.D., Pasiouras F. 2010. Assessing bank efficiency and performance with operational research and artificial intelligence techniques: a survey. European Journal of Operational Research, 204 (2): 189-198 DOI: 10.1016/j.ejor.2009.08.003
  15. Granovetter M. 1994. Getting a Job. A Study of Contacts and Careers. Harvard University Press: Cambridge (Mass.).
  16. Ippoliti R., Falavigna G. 2012. Efficiency of medical care industry: evidence from the Italian regional system. European Journal of Operational Research, 217 (3): 643-652 DOI: 10.1016/j.ejor.2011.10.010
  17. Istat. 2011. Dataset Health for All (HFA). Istat: Roma
  18. Jolls C., Sunstein C.R., Thaler R. 1998. A behavioral approach to law and economics. Stanford Law Review, 50 (5): 1471-1550.
  19. Maslow A. 1954. Motivation and Personality. Harper & Row Publishers Inc.: New York
  20. Ministero della salute. 2002. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  21. Ministero della salute. 2003. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  22. Ministero della salute. 2004. Conto economico delle strutture sanitarie regionali. Ministero della salute: Roma
  23. Ministero della salute. 2004. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  24. Ministero della salute. 2005. Conto economico delle strutture sanitarie regionali. Ministero della salute: Roma
  25. Ministero della salute. 2005. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  26. Ministero della salute. 2006. Conto economico delle strutture sanitarie regionali. Ministero della salute: Roma.
  27. Ministero della salute. 2006. Report annuale sull’attività di ricovero ospedaliera (SDO). Ministero della salute: Roma
  28. Pellicelli G. 2006. Il marketing. UTET: Torino
  29. Pulina M., Detotto C., Paba A. 2010. An investigation into the relationship between size and efficiency of the Italian hospitality sector: a window DEA approach. European Journal of Operational Research, 204 (1): 613-620 DOI: 10.1016/j.ejor.2009.11.006
  30. Ray S.C., Das A. 2010. Distribution of cost and profit efficiency: evidence from Indian banking. European Journal of Operational Research, 201 (3): 297-307 DOI: 10.1016/j.ejor.2009.02.030
  31. Scott J. 1991. Social Network Analysis. Sage: London
  32. Simar L., Wilson P.W. 2007. Estimation and inference in two-stage, semi-parametric models of production processes. Journal of Econometrics, 136 (1): 31-64 DOI: 10.1016/j.jeconom.2005.07.009
  33. Staub R., da Silva e Souza G., Tabak B.M. 2010. Evolution of bank efficiency in Brazil: a DEA approach. European Journal of Operational Research, 202 (1): 204-213 DOI: 10.1016/j.ejor.2009.04.025
  34. Zhou P., Ang B.W., Poh K.L. 2008. A survey of data envelopment analysis in energy and environmental studies. European Journal of Operational Research, 189 (1): 1-18 DOI: 10.1016/j.ejor.2007.04.042

  • Computational Science and Its Applications – ICCSA 2023 Workshops Vito Santamato, Dario Esposito, Caterina Tricase, Nicola Faccilongo, Agostino Marengo, Jenny Pange, pp.505 (ISBN:978-3-031-37110-3)

Greta Falavigna, Roberto Ippoliti, L’efficienza dei sistemi sanitari regionali in Italia: pubblico o privato? in "ECONOMIA E POLITICA INDUSTRIALE " 2/2013, pp 29-49, DOI: 10.3280/POLI2013-002002